摘要
目的:探讨腹腔镜乙状结肠癌切除术中保留左结肠动脉(LCA)和直肠上动脉(SRA)的临床意义和生存影响。方法:对2013年4月至2017年4月我院收治的138例乙状结肠癌患者的临床资料进行回顾性分析。这些患者接受了保留LCA和SRA腹腔镜乙状结肠癌根治术(保留血管组,n=48)或腹腔镜乙状结肠癌根治术(传统组,n=90)。比较2组患者手术情况、术后并发症发生率及3年生存率。结果:保留血管组术后通气时间和术后住院时间与传统组比较差异有统计学意义(P<0.05)。2组平均手术时间、平均出血量、平均淋巴结清扫方面差异无统计学意义(P>0.05)。2组术后并发症发生率比较差异无统计学意义(P>0.05)。2组3年生存率比较差异无统计学意义(P>0.05)。结论:腹腔镜下乙状结肠癌切除术保留LCA和SRA是安全可行的,保证足够的淋巴结清扫,未增加术后并发症发生率和未改变生存期,但促进术后早期恢复。
Objective:To explore the clinical significance and survival impact of preserving the left colon artery(LCA)and superior rectal artery(SRA)during laparoscopic radical resection of sigmoid colon cancer.Methods:The clinical data of 138 patients with sigmoid colon cancer admitted to our hospital from Apr 2013 to Apr 2017 were retrospectively analyzed.These patients underwent laparoscopic radical resection of sigmoid colon cancer with preservation of LCA and SRA(vascular preservation group,n=48)or laparoscopic radical resection of sigmoid colon cancer(traditional group,n=90).The operation results,incidence of postoperative complications and 3-year survival rate of the two groups were analyzed.Results:There were significant differences in postoperative ventilation time and postoperative hospital stay between the two groups(P<0.05).There were no significant differences in average operation time,average blood loss and average lymph node dissection(P>0.05).There were no significant differences in the incidence of postoperative complications and 3-year survival rate bwtween the two groups(P>0.05).Conclusion:It is safe and feasible to preserve LCA and SRA during laparoscopic radical resection of sigmoid colon cancer,which ensures adequate lymph node dissection,does not increase the incidence of postoperative complications,and does not change the survival period,but promotes early postoperative recovery.
作者
赵军
赵海远
彭帅
李洪飞
ZHAO Jun;ZHAO Haiyuan;PENG Shuai;LI Hongfei(Department of Gastrointestinal Surgery,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China;Shenyang 15th Retired Cadres′Center of Liaoning Province Military Command)
出处
《沈阳医学院学报》
2023年第3期230-233,242,共5页
Journal of Shenyang Medical College
基金
国家自然科学基金项目(No.8117313)
安徽省自然科学基金项目(No.1808085MH271)。
关键词
腹腔镜
左结肠动脉
直肠上动脉
乙状结肠癌
预后
laparoscopy
left colon artery
superior rectal artery
sigmoid colon cancer
prognosis
